Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kentwood Pharmacy

Organization Pharmacist · NPI 1558478610

Kentwood Pharmacy is a Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

6680 Kalamazoo Ave SE
Grand Rapids, MI 49508-7030
Phone: (616) 554-1964
Fax: (616) 554-3140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5301007344 (MI)

Record details

NPI number1558478610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Mulder — Owner · (616) 827-9100
NPI enumeratedAugust 24, 2006
Last updated in NPPESFebruary 27, 2008
Mailing address6680 Kalamazoo Avenue Se, Grand Rapids, MI 49508

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